- CVS Health (New Albany, OH)
- …of business. You will also perform statistical analyses to generate risk adjustment reporting and provide data -driven insights. Join this exciting ... . Your will be responsible for provider/vendor/network outreach, production management, and reporting for the Risk Adjustment Retrospective Program for… more
- Point32Health (Canton, MA)
- …and timely resolution of production issues pertaining to state government and risk adjustment data submissions, including issue investigation, business ... **Job Summary** Under the supervision of the Director of Data and Reporting , this individual will be...supporting critical data submission functions for the Risk Adjustment Department (RAD), including submissions to… more
- CareFirst (Baltimore, MD)
- …suite of analytic capabilities and actionable reports to solve problems, provide data -driven guidance, and monitor risk adjustment performance. Provide ... **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Analyst assumes a pro-active...innovative approaches to create or improve automation and optimize data and analytic processes as well as reporting… more
- CVS Health (Columbus, OH)
- …Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk Adjustment , the Market Manager will work closely with cross-functional leadership ... team player to lead a suite of market focused Risk Adjustment Programs for a portfolio of...member services team; attend market level meetings as appropriate. ** Data Analysis & Reporting ** + Work closely… more
- Highmark Health (Pittsburgh, PA)
- …other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities, as well as ... This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health… more
- LifePoint Health (Denver, CO)
- …and how physician documentation translates into ICD-10-CM and HCC risk adjustment for claims submission to meet reporting requirements. . Deliver ... local law. **Job:** **Please select a valid job field* **Organization:** **Pacific Medical Data Solutions* **Title:** * Risk Adjustment Coder - Remote Work*… more
- Centene Corporation (Phoenix, AZ)
- …in coding and documentation initiatives. + Use advanced Excel data and reporting skills to identify Risk Adjustment trends, barriers and develop ... travel to areas surrounding Tempe and Tucson, Arizona. **Position Purpose:** Utilize risk adjustment methodologies, principles, and knowledge of managed care… more
- Molina Healthcare (NY)
- …Responsible for estimating liabilities, establishing premium rates, financial analysis and reporting . Extracts, analyzes, and synthesizes data from various ... and distribute routine reports to support IBNR calculations, pricing, and financial reporting . + Extract and compile information from various systems to support… more
- Bank of America (Charlotte, NC)
- …testing, challenger model, regulatory guidance, supporting analysis and justification) + Price Risk data validation and controls **Capital Risk Management** ... and Price Risk ** + Analysis of model risk , analysis and reporting of market ...change control reviews + Counterparty/securities spot RWA and manual adjustment testing + Market risk RWA and… more
- JPMorgan Chase (Newark, DE)
- An exciting new opportunity for an experienced financial services professional within the Data Reporting and Controls team. As a Firmwide Regulatory Reporting ... & Analysis (FRRA) - Data Controllers & Reporting (DCR) - Associate within the Data ...accuracy of data through activities spanning from data sourcing, data validations, adjustment … more
- Molina Healthcare (Columbus, OH)
- …experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems * 6+ years of data analysis experience utilizing technical ... Risk and Quality leaders to improve outcomes by managing Risk /Quality data collection strategy, analytics, and reporting , including but not limited to: … more
- Molina Healthcare (Kenosha, WI)
- …experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems * 4-6 years of data analysis experience utilizing technical ... managers and is accountable for a complex portfolio of data -improvement activities supporting Molina's Risk & Quality...8+ years of program and/or project management experience in risk adjustment and/or quality * 4-6 years… more
- Molina Healthcare (Owensboro, KY)
- …experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems * 4+ years of data analysis experience utilizing technical ... leaders to improve outcomes by managing Risk /Quality data collection strategy, analytics, and reporting , including...4+ years of program and/or project management experience in risk adjustment and/or quality * 4+ years… more
- Morgan Stanley (New York, NY)
- … Risk /Policy Management in New York, New York_ Utilize data modeling, risk management, and financial reporting to conduct data analysis, risk ... role. Requires four (4) years of experience with: Data modeling, Risk Management or financial reporting ; business intelligence tools including Tableau or… more
- Molina Healthcare (Atlanta, GA)
- …experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems * 2+ years of data analysis experience utilizing technical ... leaders to improve outcomes by managing Risk /Quality data collection strategy, analytics, and reporting , including...2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years… more
- Morgan Stanley (New York, NY)
- …Risk Management Division (MRD) is responsible for the independent identification, analysis, reporting and escalation of all market risk exposures arising from ... Risk team. XVA coverage includes CVA (Credit Valuation Adjustment ), FVA (Funding Valuation Adjustment ) and many...deep understanding of market dynamics > Review limit and reporting frameworks to ensure appropriateness considering risk … more
- Healthfirst (NY)
- …+ Assume leadership role in the delivery and execution of the risk adjustment program by driving value through data driven decisions in a regulatory ... Schedule** + This role is hybrid which consists of reporting to our 100 Church Street, NYC office location...and staff in support of all processes related to risk adjustment for Medicaid, Medicare & QHP… more
- Bloomberg (New York, NY)
- …with our data analytics team, to develop compliance metrics (key risk , performance and control indicators) that provide regulatory risk insights and ... areas. - Ensure accuracy, reliability and integrity of data used for reporting purposes. - Monitor...and compliance standards - Understanding of management information, governance reporting , risk management, internal controls, root cause… more
- Citigroup (New York, NY)
- …specific names and present and recommend executive to review and approve. Analyze end-to-end risk exposures along the risk reporting hierarchy and oversight ... analytics and risk management practice; Credit Value Adjustment risk measuring and risk ...risk solution and risk management; Pricing, risk , and valuation data management, and profit… more
- PNC (Raleigh, NC)
- …Models, Risk Appetite **Competencies** Bank Quantitative Analysis, Consulting, Data Gathering and Reporting , Effective Communications, Predictive Analytics, ... the company's success. As a Quantitative Analytics/Modeling Expert within PNC's Model Risk Management organization, you can be based in Pittsburgh, PA; Tysons… more